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The total eosinophil count in asthmatic children
Insights
Prednisone significantly impacts total eosinophil count (TEC) in children with asthma. While normal diurnal variations occur without medication, prednisone drastically reduces TEC for several hours after administration.
Area of Science:
- Pediatric Allergy and Immunology
- Respiratory Medicine
- Pharmacology
Background:
- Asthma is a common chronic respiratory disease in children.
- Eosinophils play a key role in allergic inflammation and asthma.
- Understanding diurnal variations in total eosinophil count (TEC) is crucial for asthma management.
Purpose of the Study:
- To investigate the diurnal variation of TEC in asthmatic children.
- To compare TEC patterns in children on different medication regimens, including prednisone.
- To assess the impact of oral prednisone on TEC levels.
Main Methods:
- Observational study tracking TEC throughout the day.
- Comparison of TEC in asthmatic children not on medication, on theophylline, and on prednisone.
- Prednisone administration documented (daily or alternate-day, time of intake).
Main Results:
- Normal diurnal TEC variation (morning decrease, evening increase) observed in non-medicated asthmatic children and those on theophylline.
- On prednisone 'day off', TEC diurnal variation mirrored normal patterns.
- Prednisone administration (daily or alternate-day) led to near-zero TEC 4-8 hours post-dose, followed by an evening increase.
Conclusions:
- Oral prednisone significantly suppresses TEC in asthmatic children.
- The timing of prednisone administration influences TEC levels throughout the day.
- Diurnal TEC patterns in asthmatic children are highly sensitive to corticosteroid treatment.
Abstract:
The diurnal variation in total eosinophil count (TEC) in asthmatic children not on medications or on thophylline-containing bronchodilators orally every 6 hr is similar to that reported in normal subjects, with a decrease in TEC in the morning and an increase in the evening. Asthmatic children taking prednisone in 8:00 A.M. on alternate days have diurnal variations in TEC on the "day off" prednisone similar to those on normal children. On the "day on" prednisone, administered either on a daily or alternate-day basis, TECs approach zero 4 to 8 hr after prednisone is taken. The TEC then increases in the evening as it does in children not taking prednisone.
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